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Chest Wall and Diaphragmatic Injuries

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Book cover Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

Thoracic trauma is the second leading cause of death in case of trauma, after head trauma. Rib fractures are one of the most common injuries affecting trauma patients, occurring in approximately 10% of all cases, and they are associated with a mortality of 3–13%. Frequent complications of this condition are pneumonia, prolonged ventilator time, prolonged hospitalization, and chronic debilitating pain. It has been shown that a greater number of rib fractures are associated with an increased risk of complications, particularly in older patients. Optimal treatment of rib fractures has not been established; in particular, the role of surgery is a matter of debate.

Diaphragmatic injuries have been reported in 0.8–20% of patients hospitalized for blunt trauma and in 3.4–47% of patients sustaining a penetrating thoracoabdominal trauma. Mechanism of injury may be dissipation of energy from the abdominopelvic cavity to the chest in case of blunt trauma or penetrating thoracoabdominal trauma. These result in a laceration of the diaphragm, causing a hernia, that can be diagnosed in the acute setting or remain silent for months or years.

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Author information

Authors and Affiliations

  1. Department of Thoracic Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

    Filippo Antonacci, Alessandra Mazzucco & Giulio Orlandoni

  2. Department of Thoracic Surgery, Institut Lorrain Du Coeur Et Des Vaisseaux Louis Mathieu, Nancy University Hospital, Nancy, France

    Stephane Renaud

  3. Department of Thoracic Surgery, Strasbourg University Hospital, Strasbourg, France

    Nicola Santelmo

Authors
  1. Filippo Antonacci
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  2. Stephane Renaud
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  3. Alessandra Mazzucco
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  4. Giulio Orlandoni
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  5. Nicola Santelmo
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Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Antonacci, F., Renaud, S., Mazzucco, A., Orlandoni, G., Santelmo, N. (2019). Chest Wall and Diaphragmatic Injuries. In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_19

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  • DOI: https://doi.org/10.1007/978-3-319-95114-0_19

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-95113-3

  • Online ISBN: 978-3-319-95114-0

  • eBook Packages: MedicineMedicine (R0)

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